|
KMID : 0361020230660030175
|
|
Korean Journal of Otolaryngology - Head and Neck Surgery
2023 Volume.66 No. 3 p.175 ~ p.182
|
|
|
Sialendoscopy as a Useful Diagnostic and Interventional Tool for the Various Salivary Gland Disease: Our Experiences
|
|
Park Soo-Min
Kim Seung-Hwa
Kim Su-Bin
Kim Ji-Sun
Kim Byung-Guk
Chang Ki-Hong
Lee Dong-Hyun
Park Jun-Ook
|
|
|
Abstract
|
|
|
Background and Objectives Sialendoscopy is useful for the diagnosis and treatment of ob-structive salivary gland diseases, but not yet universally employed because it requires dedicate,expensive, and fragile endoscopic equipment; moreover, the surgical technique is also delicate.
Here, we describe our initial experience of sialendoscopy, as well as the learning curve, precau-tions, and drawbacks that beginners must overcome in employing sialendoscopy.
Subjects and Method The medical records of 98 patients who underwent sialendoscopicprocedures at Eunpyeong St. Mary’s Hospital from May 2019 to March 2022 were retrospectivelyreviewed. The type of procedure, success rate, operation time, and complications were analyzed.
Results We have performed a total of 85 sialendoscopic procedures, including 79 to treatsubmandibular sialolithiasis, two to treat submandibular ductal stenosis, two to treat parotid si-alolithiasis, and two to treat parotid ductal stenosis. Of the total of 81 patients with sialolithia-sis, 82.4% were treated by sialendoscopy only, 15.3% by hybrid procedure, and 2.3% opted topreserve the salivary gland and convert to external submandibular gland excision. Four patientswith ductal stenosis were treated via endoscopic bougination; stents were placed for 4 weekswithout any restenosis. The operation time was significantly shorter for the second half than forthe first half of the patients (58.6 min vs. 39.8 min). Longer operation time was associated withthe parotid gland diseases, larger stones (>5 mm in diameter), more proximal stones (from thesalivary gland), and multiple stones. We encountered no major surgical complications.
Conclusion Sialendoscopy is useful and safe; even beginners can evaluate and manage ob-structive salivary gland diseases.
|
|
|
KEYWORD
|
|
|
Endoscopy, Salivary duct, Salivary gland, Sialolithiasis
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|